Summarized below are the four research abstracts that were selected for oral presentation.
- Louer R, McKinney RC, Zee-Cheng JE et.al. Adjunctive lidocaine for painful procedure in pediatric oncology patients; is it more than just local anesthetic.
Retrospective analysis of 436 patients who underwent propofol-ketamine sedation for bone marrow biopsy and aspiration, with (185) and without (251) the injection of 2-3 ml of 1% lidocaine at the site. The group that received lidocaine required a lower dose of propofol and had a shorter recovery time than did the group without local lidocaine. Adverse effects were no different. This suggests that the addition of local lidocaine for bone marrow aspirate/biopsies done with sedation increases the efficacy and efficiency of propofol.
- Rogers A, Sinton J, Jimenez A et.al. Retrospective review of indications and diagnostic yield of brain MRI with sedation/anesthesia in children younger than 3 years of age.
Retrospective review of the first 167 of 807 children (full study enrollment), who were less than 3 yr old and had either autism spectrum disorder, developmental delay, new onset seizure, or a combination, and who received an MRI with sedation/anesthesia. In only 17% of these children did the MRI show an etiologic diagnosis, with, notably, no etiologic findings in any of the children with autism spectrum disorder. The role of MRIs in this patient population may need to be rethought.
- Kaushal S, Chambers P, Chorney J et.al. Development of consensus based pediatric sedation satisfaction tool.
Presented was the process whereby a core panel of 7 sedation experts developed a Pediatric Sedation Satisfaction Tool with the input of 22 international pediatric sedation experts using a modified Delphi technique. This tool is designed to be used by both patients/families and providers and includes 16 questions formulated with a 5 point Likert scale. Formal validation using a multicenter clinical trial will be done subsequently.
- Leviter, J. Gastric Point-of-Care Ultrasound (POCUS) at the time of procedural sedation in the pediatric emergency department: Often “full stomach” despite the wait.
In this prospective study, the investigators used ultrasound to assess gastric contents in 110 emergency department patients prior to a sedated procedure. In spite of prolonged fasting, 69% still had a “full stomach” (defined by either the presence of solids or high liquid content). This study suggests that prolonged fasting time does not guarantee the absence of a full stomach prior to procedural sedation and caution continues to be necessary.
